184880 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 363975 Page 1 of 1
ONE CIVIC SQUARE CHARLES PACKARD
CARMEL, INDIANA 46032 9801 CHAMBRAY DR CHECK AMOUNT: $286.87
INDIANAPOLIS IN 46280 CHECK NUMBER: 184880
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 10 286.87 BUILDING REPAIRS MA
Charle!''Packard I nvoice
9801 bray Dr
f, i i Date Invoice#
It�diartapo'hs II�It .46280'
1 4/1/2010_
Bill To Ship To
Carmel Clay Parks Recreation Carmel Clay Parks Recreation
Terry Myers 1411 G. 1 I Gth Street
1411 F. 1 16th Street Carmel, IN 46032
Carmel, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
4/l /2010 ow
Quantity Item Code Description Jw 30 Price Each Amount
1 Quarterly Service Water analysis from April I, 2010 thru4"+y 2010 286.87 286,87
Purchase I �,,,,1 �Vel Descript ion -42 wt I v
P.O PorF 00
X0
G.L
Budget
UneUescr
Purchaser Date
Total $2887
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
363975 Packard, Charles Terms
9801 Chambray Dr
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
411110 10 Water testomg 23408 286.87
I
Total 285.87
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
763975 Packard, Charles Allowed 20
9801 Chambray Dr
Indianapolis, IN 46280
In Sum of
286.87
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TtTLE AMOUNT Board Members
Dept
1093 10 4350100 286.87 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Apr 2010
Signature
286.87 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund